NPIMap

Organization Active NPI

Kakish MD PC

Doing business as Omaha Health Clinic

  • Critical Care Medicine (Internal Medicine) Physician
  • Omaha, NE
National Provider Identifier
1861799017
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
22576 Issued in NE
Legal business name
KAKISH MD PC
Doing business as
Omaha Health Clinic
Practice address
14440 F St Ste 121
Omaha, NE 68137-1005
Phone
(402) 933-4450
Fax
(402) 933-4490
NPI assigned
Feb 24, 2011
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eyad F Eyad, M.D.
Title
President
Phone
(402) 397-5462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 22576 NE Primary

Addresses

Primary practice location

14440 F St Ste 121
Omaha, NE 68137-1005

Mailing address

14440 F St Ste 121
Omaha, NE 68137-1005
Phone (402) 933-4450

Other names 1

  • Omaha Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405000774 NE Part B Supplier - Clinic/Group Practice 5092999755 Receives reassigned benefits from 11 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

2242 Wright St
Blair, NE 68008
Phone (402) 426-4663

14440 F St
Ste 121
Omaha, NE 68137
Phone (402) 933-4450

7410 Mercy Rd
Omaha, NE 68124
Phone (402) 397-1220

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1861799017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 F ST STE 121",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371005",
            "telephone_number": "402-933-4450",
            "fax_number": "402-933-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 F ST STE 121",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371005",
            "telephone_number": "402-933-4450",
            "fax_number": "402-933-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAKISH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "EYAD",
        "authorized_official_first_name": "EYAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-397-5462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NE",
            "license": "22576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omaha Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.